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nail surgery by non-podiatrists

Living in a country, as I do, where there are very few podiatrists, I often see pts who have undergone nail surgery by non-podiatrists. The most common problem is non-complicated re-growth and the need for further intervention, which is normally accompanied by terror on the part of the patients who expect the same level of pain and discomfort as the last time. Today was a first for me, when I saw a pt who had had surgery by a surgeon about 2 years ago for recurrent ingrown nails by doing a TNA, seemingly without doing any form of killing of the matrix, BUT then he closed a skin flap over the entire nail bed so that today, 2 years later, there is a perfectly closed skin flap covering the entire nail bed but with a palpable and painfull regrowth of the nail underneath the superficial layer of healthy looking skin.
Anyone else have cases like this, and if so what did you do for it.